Individual provider Active NPI

Haley G Shiarella

  • Physician Assistant
  • Georgetown, KY
National Provider Identifier
1285518266
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1138 Lexington Rd Ste 110
Georgetown, KY 40324-9673
Phone
(502) 570-3754
Fax
(502) 570-3756
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1138 Lexington Rd Ste 110
Georgetown, KY 40324-9673

Mailing address

404 Shoppers Dr
Winchester, KY 40391-1378
Phone (859) 737-5333

Other practice location 1

5 Linville Dr Ste 102
Paris, KY 40361-2165
Phone (502) 570-3754

Other practice location 2

404 Shoppers Dr
Winchester, KY 40391-1378
Phone (859) 737-5333

Other practice location 3

360 Amsden Ave Ste 400
Versailles, KY 40383-1855
Phone (859) 737-5333

Other practice location 4

235 Boggs Ln Ste 7
Richmond, KY 40475-3325
Phone (859) 625-9959

Other names 1

  • Haley Risinger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1285518266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SHOPPERS DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911378",
            "telephone_number": "859-737-5333",
            "fax_number": "859-737-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 LEXINGTON RD STE 110",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249673",
            "telephone_number": "502-570-3754",
            "fax_number": "502-570-3756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Linville Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "KY",
            "postal_code": "403612165",
            "country_code": "US",
            "telephone_number": "502-570-3754",
            "fax_number": "502-570-3756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Shoppers Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403911378",
            "country_code": "US",
            "telephone_number": "859-737-5333",
            "fax_number": "859-737-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Amsden Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Versailles",
            "state": "KY",
            "postal_code": "403831855",
            "country_code": "US",
            "telephone_number": "859-737-5333",
            "fax_number": "859-737-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Boggs Ln Ste 7",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404753325",
            "country_code": "US",
            "telephone_number": "859-625-9959",
            "fax_number": "859-625-9958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIARELLA",
        "first_name": "HALEY",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "RISINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.